The woman who is laying on the ground represents Rwanda that is in pain and agony. The woman also represents what the Hutus have done to the Tutsis during the Rwandan Genocide in 1994. The Hutus have killed more than 500,000 people in the genocide. They didn't had food or water so that's why you can see that they are really skinny and turned into bones. The people in the background represents other nations who just sat there and watched everything take place but didn't do anything to stop the issue.